穴位按摩结合中医情志护理对慢性阻塞性肺疾病患者情绪状态及睡眠质量的影响

Effects of acupoint massage combined with traditional Chinese medicine emotional nursing on emotional state and sleep quality of patients with chronic obstructive pulmonary disease

目的探讨穴位按摩结合中医情志护理对慢性阻塞性肺疾病(COPD)患者情绪状态及睡眠质量的影响。方法选择2021年1月至2023年2月我院收治的82例COPD患者作为研究对象,根据随机数字表法将其分为对照组、观察组,每组41例。对照组接受常规护理,观察组在对照组基础上加施穴位按摩结合中医情志护理。比较两组的情绪状态、睡眠质量、健康信念以及呼吸力学参数。结果干预后,观察组的积极情绪评分高于对照组,消极情绪评分低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的匹兹堡睡眠质量指数(PSQI)评分低于对照组,Champion健康信念量表(CHBMS)评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的气道阻力(Raw)、平均气道压(mPaw)低于对照组,差异具有统计学意义(P<0.05)。结论穴位按摩结合中医情志护理用于COPD患者护理中,不仅能够改善情绪状态,提高睡眠质量及健康信念,还能促进呼吸力学参数恢复,值得临床应用及推广。

Objective To explore the effects of acupoint massage combined with traditional Chinese medicine emotional nursing on emotional state and sleep quality of patients with chronic obstructive pulmonary disease(COPD).Methods A total of 82 patients with COPD admitted in our hospital from January 2021 to February 2023 were selected as the research objects and divided into control group and observation group by random number table method,with 41 cases in each group.The control group received routine nursing,and the observation group received acupoint massage combined with traditional Chinese medicine emotional nursing on the basis of the control group.The emotional state,sleep quality,health belief and respiratory mechanics parameters of the two groups were compared.Results After intervention,the positive emotion score of the observation group was higher than that of the control group,and the negative emotion score was lower than that of the control group,the differences were statistically significant(P<0.05).After intervention,the Pittsburgh Sleep Quality Index(PSQI)score of the observation group was lower than that of the control group,and the Champion Health Belief Model Scale(CHBMS)score was higher than that of the control group,the differences were statistically significant(P<0.05).After intervention,the airway resistance(Raw)and mean airway pressure(mPaw)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Acupoint massage combined with traditional Chinese medicine emotional nursing in the nursing of COPD patients can not only improve the emotional state,elevate sleep quality and health belief,but also promote the recovery of respiratory mechanics parameters,which is worthy of clinical application and promotion.